Physician
Rocky Mountain Pediatrics PC
Rocky Mountain Pediatrics PC was paid $2.81M by Medicaid between Jan 2018 and Oct 2022, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoROCKY MOUNTAIN PEDIATRICS PC
LAKEWOOD, CO 80214
LAKEWOOD, CO 80214
33aNPI1538152442assigned 08/25/2005
33bProvider typePediatrics Physician
28Total paid$2.81M
24GClaims74,593
24DCodes billed47
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#11 of 186
Median peer was paid$68K
This provider vs. median41×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,931 | $561K | |
| 2019 | 16,665 | $618K | |
| 2020 | 14,424 | $498K | |
| 2021 | 17,610 | $667K | |
| 2022 | 11,963 | $468K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 26% | 7,750 | 7,223 | $731K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 10,055 | 9,440 | $646K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.9% | 7,901 | 7,612 | $277K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.0% | 1,810 | 1,700 | $224K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 2,240 | 2,193 | $205K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 1,597 | 1,521 | $160K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 1,121 | 1,110 | $106K |
| 92552 | 2.3% | 5,674 | 5,421 | $64K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 738 | 673 | $63K |
| 96127 | 2.0% | 4,760 | 4,260 | $57K | |
| 99173 | 1.6% | 5,273 | 5,040 | $46K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 3,740 | 3,158 | $45K |
35 more codes
| 99354 | 1.3% | 504 | $38K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,425 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 576 | $22K |
| H0049 | Alcohol and/or drug screening | <1% | 2,208 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 878 | $17K |
| 0071A | <1% | 182 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 591 | $9K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 293 | $8K |
| 0072A | <1% | 142 | $8K | |
| 99000 | <1% | 4,823 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,958 | $6K |
| 99401 | <1% | 151 | $4K | |
| 90686 | <1% | 3,256 | $3K | |
| 0002A | <1% | 35 | $2K | |
| 90461 | <1% | 2,433 | $1K | |
| 99174 | <1% | 66 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 76 | $1K |
| 87081 | <1% | 125 | $1K | |
| 0001A | <1% | 22 | $943.60 | |
| 90670 | <1% | 134 | $797.23 | |
| 90734 | <1% | 70 | $762.63 | |
| 36416 | <1% | 298 | $676.98 | |
| 90621 | <1% | 27 | $656.22 | |
| 0054A | <1% | 13 | $535.34 | |
| 85018 | <1% | 175 | $484.57 | |
| 90698 | <1% | 117 | $367.94 | |
| 86580 | <1% | 51 | $313.20 | |
| 90651 | <1% | 49 | $304.17 | |
| 90649 | <1% | 91 | $236.84 | |
| 90688 | <1% | 71 | $144.36 | |
| 94760 | <1% | 32 | $81.28 | |
| 90715 | 0% | 13 | $0.00 | |
| 90685 | 0% | 25 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90672 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWEISS, EDRA (PRESIDENT)